| Organization Name: | JUBILEE RADIOLOGY, INC |
| NPI Number: | 1033350574 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANIS F. OWENS (CEO) |
| Mailing Address: | 550 E Carson Plaza Dr Ste 105 Carson |
| State: | CA US |
| Postal Code: | 907467359 |
| Phone Number: | 3106305843 |
| Fax Number: | 3106305844 |
| NPI Enumeration Date: | 03/12/2009 |
| NPI Last Update Date: | 03/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | G46021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |